关节镜下前交叉韧带重建术后快速康复方案对膝关节功能康复的临床疗效研究

发布时间：2018-01-10 07:25

本文关键词：关节镜下前交叉韧带重建术后快速康复方案对膝关节功能康复的临床疗效研究　出处：《广西医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:关节镜下前交叉韧带重建术后行快速康复方案,对其临床疗效进行研究。方法:收录2015年1月-2016年6月在我院行单侧关节镜下前交叉韧带重建术的患者40例,随访超过6个月,根据术后康复方法的不同将患者分为2组:快速康复组20例,传统康复组20例。术后6个月时比较两组患者的康复满意度,膝关节稳定性、膝关节活动度、双侧大腿周径差值、Lysholm评分、IKDC评分,评价哪一种康复方案对膝关节的功能康复更有优势。结果:术后6个月时,两组患者切口均I期愈合;快速康复组患者对康复方案的满意度比传统康复组要高;两组患者关节稳定性检查均为阴性;快速康复组患者膝关节活动度要优于传统康复组,但无统计学差异(P0.05);快速康复组患者双侧大腿周径差值比传统康复组要小,但无统计学差异(P0.05);快速康复组患者Lysholm评分及IKDC评分优于传统康复组的患者,有统计学差异(P0.05)。结论:从近期临床疗效分析,快速康复方案比传统治疗方案对于关节镜下前交叉韧带重建术后膝关节功能康复更有效。
[Abstract]:Objective: to study the rapid rehabilitation of anterior cruciate ligament (ACL) reconstruction under arthroscopy. Methods: 40 patients underwent anterior cruciate ligament reconstruction under unilateral arthroscopy from January 2015 to June 2016 were followed up for more than 6 months. Patients were divided into two groups according to the different rehabilitation methods: rapid rehabilitation group (20 cases) and traditional rehabilitation group (20 cases). Lysholm score and IKDC score were used to evaluate which rehabilitation regimen was more effective in functional rehabilitation of knee joint. Results: 6 months after operation. The incision of both groups was healed in the first stage. The satisfaction of the patients in the rapid rehabilitation group was higher than that in the traditional rehabilitation group. The joint stability was negative in both groups. The range of knee motion in the rapid rehabilitation group was better than that in the traditional rehabilitation group, but there was no statistical difference (P 0.05). The difference of bilateral thigh circumference in the rapid rehabilitation group was smaller than that in the traditional rehabilitation group, but there was no statistical difference (P 0.05). The Lysholm score and IKDC score in the rapid rehabilitation group were better than those in the traditional rehabilitation group, and the difference was statistically significant (P 0.05). Conclusion: from the recent clinical efficacy analysis. Rapid rehabilitation is more effective than traditional treatment in the rehabilitation of knee joint after arthroscopic anterior cruciate ligament reconstruction.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4

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